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The gallbladder is then removed through one of the ports. [42] As of 2008, 90% of cholecystectomies in the United States were done laparoscopically. [43] Laparoscopic surgery is thought to have fewer complications, shorter hospital stay, and quicker recovery than open cholecystectomy. [44]
The first described SPL procedure was a gallbladder removal in 1997. Since that time, thousands of SPL procedures have been successfully performed in the United States, from general surgery to urologic, gynecologic and bariatric surgery applications. [23]
It happens when there is a bile leak, for example after surgery for removing the gallbladder (laparoscopic cholecystectomy), with an incidence of 0.3–2%. Other causes are biliary surgery, liver biopsy, abdominal trauma, and, rarely, spontaneous perforation. [25]
Coagulation disorders and dense adhesions (scar tissue) from previous abdominal surgery may pose added risk for laparoscopic surgery and are considered relative contra-indications for this approach. Intra-abdominal adhesion formation is a risk associated with both laparoscopic and open surgery and remains a significant, unresolved problem. [33]
The surgeon manipulates instruments within the abdominal cavity to perform procedures such as cholecystectomy (gallbladder removal), the most common laparoscopic procedure. The laparoscopic method speeds recovery time and reduces blood loss and infection as compared to the traditional "open" method.
[27] Removal of the gallbladder with surgery, known as a cholecystectomy, is the definitive surgical treatment for biliary colic. [28] A 2013 Cochrane review found tentative evidence to suggest that early gallbladder removal may be better than delayed removal. [29] Early laparoscopic cholecystectomy happens within 72 hours of diagnosis. [13]
[5] [11] They are recommended if surgery cannot occur in a timely manner or if the case is complicated. [5] Stones in the common bile duct can be removed before surgery by endoscopic retrograde cholangiopancreatography (ERCP) or during surgery. [7] Complications from surgery are rare. [4] In people unable to have surgery, gallbladder drainage ...
[medical citation needed] A fluid diet is started after surgery and the diet is advanced as tolerated by the patient. [16] Liver function tests should be restudied as needed during the postoperative recovery period. The average hospital stay ranges from 3–8 days but patients can be discharged as early as postoperative day 4. [17]